Student Data Form

In order to begin working together, we will need some contact information for you and for your parents, as well as a little more family information. Please fill out the form below.

Student Data Form

Prior to our initial consultation, please complete and submit this form. You will need to fill out the entire form in one session. Please look through the form, determine the information you need, then fill it out. There is no "save" function for the form and it may time out if you leave it open for a long period of time, so you cannot fill out portions of the form, then return to it later. We look forward to getting to know you better! Thank you!

Step 1 of 7

Student Contact Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Cell Phone*
Skype Name
Date of Birth*
Ethnicity (how you identify yourself)*
Please identify your siblings, ages, grades in school, and schools attending (or attended).

Parent/Guardian 1 Contact Information
Name
First Last
Relationship to student
Cell Phone
Home Phone
Email

Parent/Guardian 2 Contact Information
Name
First Last
Relationship to student
Cell Phone
Home Phone
Email

Academic Information
High School*
Year of Graduation from Secondary School*
Class Rank Weighted*
This would appear on your transcript, if your school provides a rank. If not, put "unknown" or your own approximation of where you rank among your classmates (top 50%? top 20%? top 10%?)
Class Rank Unweighted
Approximate number of students in your graduating class
Weighted GPA
Unweighted GPA
GPA Scale
What extra weight does your school give to honors or AP or IB classes in calculating your GPA?
- 1 point
- 0.5 point
- No extra weight
- I don't know
Current High School Courses (Please indicate AP, IB, or Honors Level where appropriate)
Favorite Subject
Least Favorite Subject
Subjects in which you perform best
Subjects in which you struggle

Testing Information
Please enter any official test scores you are aware of to date, including but not limited to PSAT, PreACT, PLAN, SAT, ACT, SAT 2 Subject Exams, AP Exams, and TOEFL. Please include the month and year you completed the exam.

Outside of the Classroom
Primary extracurricular activities (sports, arts, hobbies, community service, jobs, etc.):
Summer experiences (past and planned):

The College Search
Do you have any ideas about what you are looking for in a college (size, location, religious affiliation, etc.)?
Do you have an idea of what your future major will be in college? If so, what is it, and why?
Do you have any particular colleges in mind? If so, what are they and why are they on your list?
What are your burning questions?
Please indicate the counselor you will be meeting with
You are assigned a counselor to work with through your college search and application processes. We will be happy to discuss with you which counselor may be the best fit!
Please upload your transcript, if available.
How did you hear about Great College Advice?
- Web Search
- Presentation
- Advertisement
If you were referred to our company, please indicate who recommended us.
Comments
This field is for validation purposes and should be left unchanged.

Student Data Form

Student Data Form

Step 1 of 7

Student Contact Information

Parent/Guardian 1 Contact Information

Parent/Guardian 2 Contact Information

Academic Information

Outside of the Classroom

The College Search

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